Doctor insights on:
Silvadene Stasis Ulcers
It is used: Although silvadene (silver sulfadiazine) is used for venous ulcers, it is rarely ever necessary. Silvadene (silver sulfadiazine) actually increases the risk of infection if you don't change it and reapply it a few times a day. Antibiotic creams and ointments have been shown to have no effect on ulcer healing. The mainstay of treatment for venous ulcers is compression, walking, and treating the underlying reflux that is causing the ulcer. ...Read more
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
Hubby has 2 small ulcers on mid of leg that have gotten smaller in the last 2 weeks with the use of vitamin a&d gel & silvadene (silver sulfadiazine) 3%, is this ok to use?
Stasis ulcers: You need to see a clinician, preferably one that specializes in these types of wounds. So long as the diagnosis is confirmed, the treatment is always some form of compression (once the arterial tree is assessed and its safe to compress). Without compression, these wounds will not heal. ...Read more
Venous stasis ulcer: Venous insufficiency presents with varying stages. Stage1=spider veins, 2=varicose veins, 3=edema, 4a= stasis changes (brownish pigmentation), 4b=skin changes (lipodermatosclerosis, atrophie blanche), 5=healed ulcer, 6= active ulcer. With stage 6, active ulcer is the worst case, and fixing the venous insufficiency will help in healing of the ulcer along with compression, local care. ...Read more
Venous Stasis Ulcer: Periwound itching can be treated with a steroid cream. But itching can be a sign of other things in patients with venous stasis disease. If you have an ulceration, you should be evaluated by a professional who is familiar with wound care. Itching may be a sign, for example, of increased drainage coming from the ulcer and/or an infectious process. ...Read more
See below: Wound should be debrided of non viable tissue, and appropriate dressing applied to optimize healing and control drainage, and compression hose. If it has been treated for some time, more advanced skin substitutes like apligraf can be used. Vascular studies performed to ensure adequate bloody supply to heal the wound, and an us to assess whether vein ablation will help. ...Read more
Compression: The most important treatment to a venous stasis ulcer is compression wrap or hose. The compression of the wrap must sufficient to counterbalance the underlying venous hypertension. The venous hypertension vhtn is the cause of the weeping and ulcer. Vhtn pressure is the result of gravity and faulty valves. Once proper compression is applied weeping and proper wound care is applied weeping will stop. ...Read more
Black in ulcer: 'black' tissue can be several things in an ulcer. It can represent decayed tissue, infected tissue, affects of silver based dressings, etc. Please go to a wound center to be seen. ...Read more
Do you have to get an abi test done before you can use compression or an unna boot on a stasis ulcer?
I've got venous stasis ulcers. Who has the best site for easy to understand information on this subject?
Many places to go to: Http://www. Uptodate. Com/contents/chronic-venous-disease-beyond-the-basics.Get a more detailed answer ›
I have venous stasis ulcers. Who has the best website for easy to understand information on this subject?
Yes: Venous stasis is caused by valve problems that allow blood from deep high-pressure veins to enter low-pressure veins just under the skin. These veins enlarge, letting fluid through the walls (swelling), letting blood through (discoloration) and finally having so much back pressure that nutritious arterial blood cannot enter an area of the skin resulting in ulcers or inability to heal minor wounds. ...Read more
Stress Veins: Not specifically. Stress is never a helpful thing--we do not recommend stress to help cure our patients no matter what the disease may be. Venous stasis ulcers will worsen if the underlying pathology, increased pressure of the veins, is not addressed nor treated appropriately. Other causes of worsening ulcers can include an infectious etiology also. ...Read more
No: Skin tears alone don't cause venous stasis ulcers. Wounds can heal poorly with several medical conditions, including severe varicose vein disease and severe venous insufficiency -in which case they may need to be treated like a venous ulcer. A venous stasis ulcer can occur without prior skin injury and can take months to years to heal. Treatment of varicose veins before an ulcer occurs is best.. ...Read more
Not sure why codes are important to you.
There are a group of codes that describe venous hypertension, with and without inflammation, and with and without ulceration.
There are another set of codes that describe ulcerations and these vary depending on the location along the lower extremity that they are found. ...Read more
See a venous Dr.: Venous stasis is caused by valve problems that allow blood from deep high-pressure veins to enter low-pressure veins just under the skin. These veins enlarge, letting fluid through the walls (swelling), letting blood through (discoloration) and finally having so much back pressure that nutritious arterial blood cannot enter an area of the skin resulting in ulcers. It is treated by laser ablation. ...Read more
Stasis ulcers are usually venous, but sometimes the arteries can also be involved
also depending on how large the ulcer is
Usually a pressure dressing is applied if its strictly venous stasis ulcer.
It looks like a boot. This is the faster way to treat
If the ulcer is infected you may need an antibiotic or other topical dressing under the boot dressing. ...Read more
Multiple factors: Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing. ...Read more
Venous Ulcer RX: Compression is the key to treating venous stasis ulcerations. In a comprehensive wound care center, there are many different types of compression used. First, make sure that the level of compression that is being used is safe to use. Your wound care professionals will be able to assist you through this process. ...Read more
Ulcer artery vs vein: Venous ulcers are due to high blood pressure of the veins resulting in the leakage of fluid into the tissues of the legs. Compression of the lower extremities and surgery on the veins can correct this. Ischemic ulcers are due to problems with arteries. There are larger arteries and small microscopic ones and either or both can have blockages. They usually can be discerned from each other. ...Read more
I'm dealing with venous stasis ulcers in my leg and it looks as it's spreading to another part of my body but I really can't tell?
Need to examine:
It is not feasible to provide a meaningful opinion without examining you and your symptoms warrant evaluation by a physician. However, if you are overweight, it is imperative that you lose weight.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
I have had a venous stasis ulcer for 6 months. It was determined that it is caused by a valve insufficiency. What is the best and safest way to cure?
Remove the vein:
Number one rule to heal venous stasis ulcer is to eliminate the stasis.
you can achieve that by wearing high pressure stocking.
eliminate prolonged standing or sitting.
eliminate the disease vein with a bad valve by having it removed either by destroying the vein from inside the lumen, or romove the vein completely, or destroying the vein from outside by laser.
losing weight might help.
keep leg up. ...Read more